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    Prostatic Acid Phosphate
    1 X $60.00 = $60.00
    Culture, Mycobacteria (AFB)
    1 X $48.00 = $48.00
    Complete Blood Count (CBC)
    1 X $20.00 = $20.00
    Culture, Blood
    1 X $80.00 = $80.00
    Glucose
    1 X $20.00 = $20.00
    Progesterone
    1 X $32.00 = $32.00
    Human Chorionic Gonadotropin (HCG), Total
    1 X $30.00 = $30.00
    Immunoglobulin M (IgM Total)
    1 X $40.00 = $40.00
    Follicle-stimulating Hormone (FSH) and Luteinizing Hormone (LH)
    1 X $45.00 = $45.00
    Testosterone, Bioavailable (Total, Free, Bio-Available, SHBG)
    1 X $54.00 = $54.00
    Troponin-I
    1 X $44.00 = $44.00
    Glucose, Gestational, 1Hr
    1 X $22.00 = $22.00
    Hep C Ab
    1 X $44.00 = $44.00
    Tri-iodothyronine Free T3
    1 X $30.00 = $30.00
    Potassium, Serum
    1 X $18.50 = $18.50
    RPR W/ Reflex to (1357 Syphilis & 337 RPR Titer)
    1 X $48.00 = $48.00
    Saliva Hormone Female Evaluator Plus (11 Days)
    1 X $394.00 = $394.00
    Magnesium RBC
    1 X $35.50 = $35.50
    PSA, Total (mcr Scr)
    1 X $25.00 = $25.00
    Rubella IgM
    1 X $44.50 = $44.50
    Subtotal $1,134.50
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